Provider Demographics
NPI:1043278674
Name:CHATTERJEE, ARABINDA (MD)
Entity type:Individual
Prefix:
First Name:ARABINDA
Middle Name:
Last Name:CHATTERJEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH GROSVENORDALE
Mailing Address - State:CT
Mailing Address - Zip Code:06255-2165
Mailing Address - Country:US
Mailing Address - Phone:860-923-1181
Mailing Address - Fax:
Practice Address - Street 1:415 RIVERSIDE DRIVE
Practice Address - Street 2:THOMPSON MED CENTER
Practice Address - City:N. GROSVENORDALE
Practice Address - State:CT
Practice Address - Zip Code:06255
Practice Address - Country:US
Practice Address - Phone:860-923-1181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA81487207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001366071Medicaid
080001372Medicare PIN